A 4676 (see companion bill S 3185) – New Jersey
Introduced/Considered: 2016    Status: Enacted
PRESCRIPTION DRUG PATIENT PROTECTION ACT: Requires pharmacy benefits managers to obtain, in accordance with the bill’s provisions, a certificate of authority from the Commissioner of Banking and Insurance in order to operate in this State. …

S 3185 (see companion bill A 4676) – New Jersey
Introduced/Considered: 2016    Status: Inactive / Dead
PRESCRIPTION DRUG PATIENT PROTECTION ACT: Requires pharmacy benefits managers to obtain, in accordance with the bill’s provisions, a certificate of authority from the Commissioner of Banking and Insurance in order to operate in this State. …

SB 2 (see companion bill HB 1010) – Arkansas
Introduced/Considered: 2018    Status: Enacted
THE ARKANSAS PHARMACY BENEFITS MANAGER LICENSURE ACT: Beginning September 2018, this law requires pharmacy benefits managers to become licensed, file an annual statement about its sales and contracts within the state, and provide a report …

HB 1010 (see companion bill SB 2) – Arkansas
Introduced/Considered: 2018    Status: Enacted
THE ARKANSAS PHARMACY BENEFITS MANAGER LICENSURE ACT: Beginning September 2018, this law requires pharmacy benefits managers to become licensed, file an annual statement about its sales and contracts within the state, and provide a report …

HB 240 – Alaska
Introduced/Considered: 2017    Status: Enacted
AN ACT RELATING TO THE REGISTRATION AND DUTIES OF PHARMACY BENEFIT MANAGERS; RELATING TO PROCEDURES, GUIDELINES, AND ENFORCEMENT MECHANISMS FOR PHARMACY AUDITS; RELATING TO THE COST OF MULTI-SOURCE GENERIC DRUGS AND INSURANCE REIMBURSEMENT PROCEDURES; RELATING …

SB 1520 (see companion bill HB 1624) – Texas
Introduced/Considered: 2015    Status: Enacted
TRANSPARENCY RELATED TO CERTAIN HEALTH BENEFIT PLAN COVERAGE – HEALTHCARE PROVIDER DIRECTORIES: requires health benefit plan issuers to display formulary information, via a direct and conspicuous electronic link, on the issuer’s Internet website. The formulary …

HB 1624 (see companion bill SB 1520) – Texas
Introduced/Considered: 2015    Status: Enacted
TRANSPARENCY RELATED TO CERTAIN HEALTH BENEFIT PLAN COVERAGE – HEALTHCARE PROVIDER DIRECTORIES: requires health benefit plan issuers to display formulary information, via a direct and conspicuous electronic link, on the issuer’s Internet website. The formulary …

SB 130 – Louisiana
Introduced/Considered: 2018    Status: Enacted
Requires Medicaid pharmacy benefit manager contracts to be limited to a set per transaction rate for every pharmacy claim paid. Would prohibit all Medicaid pharmacy benefit managers from retaining federal drug rebates or “spread pricing” …

HB 466 – North Carolina
Introduced/Considered: 2017    Status: Enacted
AN ACT RELATING TO THE REGULATION OF PHARMACY BENEFIT MANAGERS: gives pharmacies or pharmacists the right to provide an individual covered by a health plan their cost share for a prescription drug. Neither a pharmacy …

HB 425 – Delaware
Introduced/Considered: 2018    Status: Enacted
This Act establishes that a contract between a pharmacy benefits manager and a pharmacy may not prohibit a pharmacy or pharmacist from doing any of the following: (1) Providing an insured with information regarding the …

AB 621 (see companion bill SB 532) – Wisconsin
Introduced/Considered: 2017    Status: Inactive / Dead
This bill allows the commissioner of insurance to regulate pharmacy benefit managers. The bill defines a pharmacy benefit manager as an entity that procures prescription drugs at a negotiated rate for dispensation; administers or manages …

SB 532 (see companion bill SB 621) – Wisconsin
Introduced/Considered: 2017    Status: Inactive / Dead
This bill allows the commissioner of insurance to regulate pharmacy benefit managers. The bill defines a pharmacy benefit manager as an entity that procures prescription drugs at a negotiated rate for dispensation; administers or manages …

N.H. Rev. Stat. Ann. § 400-B:3 – New Hampshire
Introduced/Considered:    Status: Enacted
Requires that a health insurer maintain its books, records, and documents in a manner so that the practices of the insurer regarding network adequacy, utilization review, quality assessment and improvement, and provider credentialing may be …

LB 324 – Nebraska
Introduced/Considered: 2017    Status: Inactive / Dead
PHARMACY BENEFIT FAIRNESS AND TRANSPARENCY ACT: Requires that all pharmacy benefit managers (PBMs) doing business in Nebraska obtain certification as a Third Party Administrator, with oversight by the Nebraska Department of Insurance. Violation of these …

H 4639 – Massachusetts
Introduced/Considered: 2018    Status: In Process
AN ACT ESTABLISHING THE HONORABLE PETER V. KOCOT ACT TO ENHANCE ACCESS TO HIGH QUALITY, AFFORDABLE AND TRANSPARENT HEALTHCARE IN THE COMMONWEALTH.

HB 1513 – Mississippi
Introduced/Considered: 2018    Status: Inactive / Dead
A health benefit plan shall not discriminate against any physician who is located within the geographic coverage area of the health benefit plan and who is willing to meet the terms and conditions for participation …


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